RFP PUR008-24 Medical Plans - Self Insured and Fully Insured

The state of Maryland, through the Prince George's County Public Schools (PGCPS), is seeking proposals for self-funded Three-Tiered Network Medical Plan coverage and/or fully insured Staff Model Health Maintenance Organization (HMO) coverage services for eligible PGCPS employees, retirees, and their dependents. The RFP outlines the scope of work, including claims administration, network management, account management, and disease management and wellness programs. Respondents must provide cost proposals, technical proposals outlining their qualifications and approach, and Minority Business Enterprise (MBE) participation plans. The initial contract term is for five years, with two optional one-year renewal terms, and pricing is required to remain fixed for the full contract period, with the potential for price decreases.

The RFP has established a 15% MBE participation goal. The state has issued a Notice of Intent to Award contracts to CareFirst for the Three-Tiered Network Medical Plan and to Kaiser for the Staff Model HMO Plan, subject to approval by the Board of Prince George's County on June 13, 2024. The RFP also includes several addenda that extend the proposal due date, provide clarifications, and address questions from prospective offerors. The total value of the contract is not specified, but the current medical insurance environment and any specific funding sources or amounts are not provided.